穴位贴敷联合指法扩肛治疗脑出血术后便秘临床研究  

Clinical Study on Point Application Combined with Fingering Anal Dilation for Postoperative Constipation of Cerebral Hemorrhage

作　　者：蔡丽娟 胡松佳 王东利 CAI Lijuan;HU Songjia;WANG Dongli

机构地区：[1]河南省直第三人民医院神经外科,河南郑州450006

出　　处：《新中医》2023年第4期173-177,共5页New Chinese Medicine

摘　　要：目的:观察在常规干预措施基础上应用穴位贴敷联合指法扩肛治疗脑出血术后便秘的效果。方法:将244例脑出血术后肠道气滞型便秘患者随机分成对照组、联合组各122例。2组患者均实施脑出血术后及便秘的常规干预措施,对照组加用指法扩肛,联合组以穴位贴敷联合指法扩肛进行治疗,2组均治疗2周。治疗前后评定2组患者的便秘症状评分、便秘患者生活质量量表(PAC-QOL)评分,检测肛肠动力学指标[肛管最大收缩压(MSP)、肛管静息压(ARP)],比较2组的临床疗效。结果:治疗后,联合组临床疗效总有效率93.33%,高于对照组82.50%,2组比较,差异有统计学意义(P<0.05)。2组排便间隔时间、排便用时、排便性状、排便难度、便意评分均较治疗前降低(P<0.05),联合组5项评分值均低于对照组(P<0.05)。2组MSP、ARP均较治疗前增加(P<0.05),联合组2项指标值均高于对照组(P<0.05)。2组PAC-QOL生理、社会心理、忧虑、满意度评分均较治疗前减少(P<0.05),联合组4项评分值均低于对照组(P<0.05)。结论:在常规干预措施基础上应用穴位贴敷联合指法扩肛治疗脑出血术后便秘患者,可有效增加肛门括约肌的收缩力,缓解便秘,提高生活质量。Objective:To observe the clinical effect of point application combined with fingering anal dilation on postoperative constipation of cerebral hemorrhage based on routine invention measures.Methods:A total of 244 cases of constipation of intestinal qi stagnation type after surgery for cerebral hemorrhage were randomly divided into the control group and the combination group,with 122 cases in each group.The two groups were both given the routine intervention measures for cerebral hemorrhage after surgery and constipation.In addition,the control group was treated with fingering anal dilation,and the combination group was given point application combined with fingering anal dilation.The two groups were treated for 2 weeks.Before and after treatment,the symptom scores of constipation and Patient Assessment of Constipation-Quality of Life(PAC-QOL)in the two groups were determined,the indexes of anorectal dynamics,including anorectal maximal squeeze pressure(MSP)and anorectal resting pressure(ARP)were detected,and the clinical effects were compared between the two groups.Results:After treatment,the total clinical effective rate was 93.33% in the combination group,higher than that of 82.50% in the control group,the difference being significant(P<0.05).The scores of the mean time between defecation,defecation time,defecation traits,difficulty in defecation and defecation desire in the two groups were decreased when compared with those before treatment(P<0.05),and the scores of the five items above in the combination group were lower than those in the control group(P<0.05).The MSP and ARP in both groups were increased when compared with those before treatment(P<0.05),and the two indexes above in the combination group were higher than those in the control group(P<0.05).Compared with those before treatment,the scores of physiology,social psychology,anxiousness and satisfaction degree of PAC-QOL in the two groups were decreased(P<0.05),and the scores of the four items above in the combination group were lower than those in th

关 键 词：脑出血 便秘 穴位贴敷 指法扩肛 生活质量 肛肠动力学 

分 类 号：R248.2[医药卫生—中医临床基础]